Jonathan Spero, MD, InHouse Physicians Frank Veronsky Photography

7 Steps to Creating a Proactive Medical Risk Management Plan

Don’t wait until you have a medical disaster on your hands to realize you should have spent as much time planning for medical issues as you did for food and beverage

While recent events have most meeting professionals focused on preparing for active shooters and weather catastrophes, it’s infinitely more likely—probable, even—that someone at your event will have a medical issue. Just ask Jonathan Spero, MD. From a heart attack that took out a CEO at a worldwide convention, to an outbreak of norovirus that left two-thirds of attendees miserably quarantined in their guestrooms, to an incentive attendee who took a wrong turn during an all-terrain vehicle ride and ended up with serious trauma 40 feet up in a tree, he has seen it all.

Spero founded InHouse Physicians in 1992, and currently serves as CEO of the company, which, among other services, provides 24-hour, onsite, board-certified or equivalent medical personnel for meetings and incentives. While most meetings don’t require onsite physicians, nurses, or other medical staff, there are questions all meeting professionals should ask to ensure the safety of their participants, Spero said during a panel on meetings-related safety and security at Pharma Forum 2018, held March 25–28 in Philadelphia. 

Here are the steps he recommends to create a proactive medical risk management plan.

1. Identify all of the health risks that could be associated with your program.
Spero says to include the routine medical emergencies that could happen to anyone at any time, such as a cardiac event or a slip and fall, but also think about the risks specific to your event and your host locale. There will be additional risks for altitude sickness if your meeting destination is at a high altitude, for example, or potential environmental hazards if people will be doing ocean sports, or for heat stroke if they will be subjected to high heat and humidity levels. If you’re going internationally, there could be infectious disease risks, and potential food and water contamination issues. As is sometimes the case with incentive travel, will there be children attending? “When kids travel, they tend to get sick more often,” Spero says. 

It’s also important to ask them if they have any medical issues you should be aware of, such as allergies. “Will they need a wheelchair? Are they deathly allergic to shellfish? You need to add those questions to your pre-con checklist.”

2. Determine ways to mitigate as many risks as possible.
For example, if you know you’re doing a teambuilding activity outdoors in a hot locale, plan to have cooling stations and plenty of water bottles to help reduce the possibility of heat exhaustion. 

3. Communicate potential health risks—and what you plan to do about them—to attendees.
“You don’t want to alarm people, but do your due diligence and tell them if there are risks they should be taking into account,” he says. “Talk about heat exhaustion, or altitude sickness. If you’re going internationally, tell them to ask their doctor about the inoculations they may need.”

4. Find out what the emergency medical system response time is to your meeting venue.
Unfortunately, there isn’t a website listing EMS response times for all venues around the world, so your best bet is to ask the director of security at your hotel or convention center. Is there a fire station on the next block, or is it more remote? How long will it take emergency responders to get to your venue? It’s also a good idea, especially for large venues, to ask what entrance EMS responders should to use to get to your meeting space.

“A sore throat may be OK, but if that same person goes into cardiac arrest and the response time is 30 minutes, that person is going to die,” he says.

5. Identify the closest—and the best—hospital and urgent care facilities.
And be aware that these may not be one and the same, warns Spero. “Your destination management company may be able to help you with this.” If your event is in a remote locale, also think about how you will transport someone with a medical emergency to the care facility. “If the closest trauma center is a flight away, you need to arrange for that possibility,” says Spero, adding that many companies use iJet or other emergency logistics companies for these situations.

6. Evaluate the property’s first responder team.
“They should have at least two personnel who are certified in CPR and first aid, and available 24 hours a day to respond to any medical emergency,” says Spero. Ask what their credentials are, and if there’s an automated external defibrillator, or AED, on the property. “Coordinate with your hotel security, and your corporate security team if you will have one on site with you. You are not alone.”

7. Consider onsite medical support.
Services such as what his company offers are probably a luxury for most meetings, Spero says. However, there are some circumstances where you may want to think about it.

For domestic meetings, his clients typically start thinking about hiring onsite medical support for meetings of 500 or more attendees. That number isn’t absolute, however. “We also are asked to bring onsite medical staff to domestic meetings with as few as 20 attendees, such as for a pharmaceutical company board of directors meeting or other meeting that gather the organization’s top talent in one place.”

International meetings where the standard of care and/or emergency response times may not be sufficient for your needs also can be good candidates, as can meetings in remote locales that also may have challenges with accessibility to quality care or response times.

To learn more about onsite medical support for meetings and events, contact Karen Moore at (303) 929-2665, [email protected]

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